Ahmad Ali Millwala DMD Oral and Maxillofacial Surgery Co

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

023877 Issued in OH

Legal business name

AHMAD ALI MILLWALA DMD ORAL AND MAXILLOFACIAL SURGERY CO

Practice address

2846 Double Eagle Dr
Beavercreek, OH 45431-4709

Phone

(773) 732-8288

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ahmad A Millwala, DMDNPI 1053579771

Title

President

Phone

(773) 732-8288

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmad Ali Millwala, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Katy, TX
  • NPI 1053579771
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1285041186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 DOUBLE EAGLE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314709",
            "telephone_number": "773-732-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 DOUBLE EAGLE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314709",
            "telephone_number": "773-732-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD ALI MILLWALA DMD ORAL AND MAXILLOFACIAL SURGERY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "MILLWALA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-732-8288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "023877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.